Locust Grove Retirement Village
Nursing Home · Mifflin, PA
CMS certification number395350
Contact & location
69 Cottage RoadMifflin, PA 17058
Juniata County
- Phone
- (717) 436-8921
- ZIP code
- 17058 – all care providers
Facility details
- Certified beds
- 104
- Residents per day
- 66.3 (64% occupied)
- Ownership
- For profit - Corporation
- Legal name
- 69 Cottage Road Opco LLC
- Chain
- Avardis Health (38 facilities, avg 2.0★)
- Medicare certified since
- May 12, 1976
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.91 (state 3.89 · U.S. 3.86)
- Registered nurses (RN)
- 0.60 (state 0.79 · U.S. 0.69)
- Licensed practical nurses
- 1.16 (state 0.91 · U.S. 0.86)
- Nurse aides
- 2.15 (state 2.19 · U.S. 2.32)
- Weekend total
- 3.24 (state 3.53 · U.S. 3.42)
- Nursing staff turnover
- 34.3 (state 44.5 · U.S. 45.8)%
- RN turnover
- 25.0 (state 39.9 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- June 27, 2025
- Health deficiencies (last cycle)
- 8.0 (state 10.1 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 39 health · 11 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-06-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-06-27 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-06-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-06-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-06-27 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-06-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-06-27 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. F0742 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2025-06-27 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-22 |
| 2024-10-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-06-18 | Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-05 |
| 2024-05-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-03-28 |
| 2024-05-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2024-05-03 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-14 |
| 2023-08-04 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. F0729 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
| 2023-08-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-29 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $12,831 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-03 | Fine | $12,831 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Mifflin Parentco LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Juniata Holdco LLC (organization) | 5%+ Indirect Ownership Interest | |
| Paop Holdco LLC (organization) | 5%+ Indirect Ownership Interest | |
| Mifflin Re Owner, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Clark, Alyssa (individual) | Administrator · NOT APPLICABLE | |
| Criag, Michele (individual) | Administrator · NOT APPLICABLE | |
| Hoback, Tiffany (individual) | Administrator · NOT APPLICABLE | |
| Jones, Tequilla (individual) | Administrator · NOT APPLICABLE | |
| Mifflin Re Owner, LLC (organization) | Administrator · NOT APPLICABLE | |
| Roscoe, Brandon (individual) | Administrator · NOT APPLICABLE | |
| Simpson, Louann (individual) | Administrator · NOT APPLICABLE | |
| SNF MGR LLC (organization) | Administrator · NOT APPLICABLE | |
| Clark, Alyssa (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hoback, Tiffany (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Clark, Alyssa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Criag, Michele (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hoback, Tiffany (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Jones, Tequilla (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Roscoe, Brandon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Simpson, Louann (individual) | Operational/managerial Control · NOT APPLICABLE | |
| SNF MGR LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Locust Grove Retirement Village?
Locust Grove Retirement Village has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Pennsylvania.
How many beds does Locust Grove Retirement Village have?
It has 104 certified beds and cares for about 66 residents per day.
Has Locust Grove Retirement Village been fined?
Yes. CMS lists 1 penalty totaling $12,831 in the last three years.
Who owns Locust Grove Retirement Village?
It is part of Avardis Health and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Locust Grove Retirement Village?
(717) 436-8921. The facility is located at 69 Cottage Road, Mifflin, PA 17058.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.